the local health authority of reggio emilia - Azienda USL di Reggio ...
the local health authority of reggio emilia - Azienda USL di Reggio ...
the local health authority of reggio emilia - Azienda USL di Reggio ...
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THE LOCAL HEALTH AUTHORITYOF REGGIO EMILIADr Antonio Chiarenza<strong>Azienda</strong> Unità Sanitaria Locale <strong>di</strong> <strong>Reggio</strong> EmiliaHPH Regional Network <strong>of</strong> Emilia-Romagna (Italy)TF-MFCCH/COST meeting<strong>Reggio</strong> Emilia 14-15.10.2010
Where is <strong>Reggio</strong> Emilia?The province <strong>of</strong> <strong>Reggio</strong>Emilia is part <strong>of</strong> <strong>the</strong>Emilia-Romagna region2,291 square kilometers<strong>Reggio</strong> Emilia is <strong>the</strong> maintown <strong>of</strong> <strong>the</strong> provincePopulation <strong>of</strong> 519,480peopleEmilia- Romagna is one<strong>of</strong> <strong>the</strong> 20 regions in Italy22,124 square kilometersRegional Capital Bologna9 provincesPopulation <strong>of</strong> 4,338,000people
Health Services in <strong>the</strong> Province <strong>of</strong> <strong>Reggio</strong> EmiliaThe A<strong>USL</strong> - [Local Health Unit] + The Hospital TrustThe A<strong>USL</strong> is 1 <strong>of</strong> <strong>the</strong> 11LHU’s s in Emilia-Romagna6 Health Districts5 Minor Hospitals (817beds)3,970 employees470 me<strong>di</strong>cal doctors390 GP
A<strong>USL</strong> OF REGGIO EMILIA:MAIN SERVICE AREASPUBLIC HEALTH HEALTH DISTRICTS HOSPITALSHealth and SafetyVeterinary servicesPublic HygieneFood safetyEpidemiologyPreventionHealth PromotionPrimary care servicesProtected residentialstructuresElderlyPharmacyMental <strong>health</strong>Home <strong>health</strong> careDrug ad<strong>di</strong>ctionMo<strong>the</strong>r and childAcute /High specialitiesRehabilitation / Long StayDay HospitalSpecialist outpatientsEmergency servicesPsychiatric services
MIGRATION PHENOMENON IN REGGIO EMILIA1997 - 20092,4 2,8 3,3 3,7 4,3 5,0 5,5 6,67,88,7 9,3 10,311,4•Osservatorio Provinciale sulla Popolazione Straniera
DemographyMigrant population in <strong>Reggio</strong> Emilia,bysex and country <strong>of</strong> origin, 1Jan 2009,ISTATcountry <strong>of</strong> origin male female totalAlbania 3830 2929 6759In<strong>di</strong>a 3023 2333 5356China 2340 2132 4472Romania 1830 2172 4002Pakistan 2496 1378 3874Ukraina 561 2549 3110Tunisia 1804 1093 2897Ghana 1450 1119 2569Moldova 660 1292 1952Egypt 976 433 1409Poland 304 863 1167Nigeria 516 639 1155Sri Lanka 637 445 1082age male female immigrants% on totalpopulation=65 431 717 1148 1.12total 30385 29047 59432 11.44Migrant population in <strong>Reggio</strong> Emilia, bysex and class <strong>of</strong> age 1° Jan. 2009, ISTAT
Migrant-Friendly Hospitals (2002-2005)A European Initiative to Promote Health and Health LiteracyMigrants and Ethnic Minorities (WWW.MFH-EU.NET)ATDEDKELESFIFRIRITNLPTSVUKKaiser-Franz-Josef-Spital, Vienna, AustriaImmanuel-Krankenhaus GmbH,Rheumaklinik Berlin-Wannsee,Berlin, GermanyKol<strong>di</strong>ng Hospital, Velje-Kol<strong>di</strong>ng, DenmarkHospital ”Spiliopoulio Agia Eleni”, A<strong>the</strong>ns,GreeceHospital Punta de Europa, Algeciras-Cá<strong>di</strong>z,SpainTurku University Hospital, Turku, FinlandHôptial Avicenne, Paris, FranceJames Connolly Memorial Hospital,Dublin, IrelandPresi<strong>di</strong>o Ospedaliero della Provincia <strong>di</strong><strong>Reggio</strong> Emilia, <strong>Reggio</strong> Emilia, ItalyAcademic Me<strong>di</strong>cal Center,Amsterdam, The Ne<strong>the</strong>rlandsHospital Nossa Senhora doRosário (HNSR) Barreiro/Lisbon,PortugalUppsala University Hospital,Psychiatric Centre,Uppsala, SwedenBradford Hospitals NHS Trust ,Bradford, U.K.
Adoption <strong>of</strong> a whole organisational approach:to develop Migrant-friendly and culturally competen<strong>the</strong>alth care in <strong>Reggio</strong> EmiliaEffective interventions:• Develop and implement MFCC specific policy and strategy(Top-management commitment; provide for resources)• Integrate principles <strong>of</strong> cultural competence in <strong>the</strong> qualitymanagement system (specific standards and in<strong>di</strong>cators)• Establish a management structure for MFCC(mainstreaming)• Develop specific MFCC services (cultural me<strong>di</strong>ation) andadapt organisational processes and procedures• Systematic training <strong>of</strong> staff on migration and culturalcompetency• Monitor <strong>health</strong> and access to care across <strong>di</strong>verse groups• Include community in priority setting, planning andevaluating
HPH-TASK FORCE ON MIGRANT-FRIENDLY ANDCULTURALLY COMPETENT HEALTHCAREPROJECT OUTCOMESATDEDKELESFIFRIRITNLPTSVUKOUTCOMESFor hospitals12 nationalmodels forMFH:”how to do it”interventions1. Organizationaldevelopment2. Interpretingservices3. Staff training onculturalcompetence4. Patientinformation andeducationOUTCOMESFor <strong>health</strong> policyOUTCOMESFor networkingWHO-HPHTASK FORCEMIGRANT FRIENDLYANDCULTURALLYCOMPETENTEHEALTH CARE
The aims <strong>of</strong> Task Force on MFCCHThe HPH Task Force is co-or<strong>di</strong>nated by HPHRegional Network Emilia Romagna, A<strong>USL</strong> <strong>Reggio</strong>Emilia (WWW.A<strong>USL</strong>.RE.IT)• To create a framework for continuityafter <strong>the</strong> conclusion <strong>of</strong> <strong>the</strong> MFH project• To share and <strong>di</strong>sseminate best policiesand practice• To foster co-operation and alliancesbetween <strong>health</strong>care organisations ando<strong>the</strong>r networks• To support <strong>health</strong> care organisations in <strong>the</strong>HPH in becoming MF & CC organisations asin<strong>di</strong>cated in <strong>the</strong> Amsterdam Declaration
The TF MFCCH is responsible for <strong>the</strong>collection <strong>of</strong> practices in <strong>the</strong> provision <strong>of</strong>care for undocumented migrants in Europe
GRAZIEThank you
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